Evidence map›Paper›PMID 34156519›Full record

ArticleJournal of cancer research and clinical oncology2021

Upregulation of the ErbB family by EZH2 in hepatocellular carcinoma confers resistance to FGFR inhibitor.

Aldo Prawira, Thi Bich Uyen Le, Rebecca Zhi Wen Ho, Hung Huynh

Open access · hybridAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.6field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Aldo PrawiraLaboratory of Molecular Endocrinology, Division of Cellular and Molecular Research, National Cancer Centre Singapore, 11 Hospital Crescent, Singapore, 169610, Singapore.
Thi Bich Uyen LeLaboratory of Molecular Endocrinology, Division of Cellular and Molecular Research, National Cancer Centre Singapore, 11 Hospital Crescent, Singapore, 169610, Singapore.
Rebecca Zhi Wen HoLaboratory of Molecular Endocrinology, Division of Cellular and Molecular Research, National Cancer Centre Singapore, 11 Hospital Crescent, Singapore, 169610, Singapore.
Hung HuynhLaboratory of Molecular Endocrinology, Division of Cellular and Molecular Research, National Cancer Centre Singapore, 11 Hospital Crescent, Singapore, 169610, Singapore. cmrhth@nccs.com.sg.ORCID http://orcid.org/0000-0001-7847-3981
National Cancer Centre Singapore · SG

Funding

National Research Foundation Singapore NRF-CRP17-2017-05RIE2020 NCIS Centre Grant CGAug16M005Singapore National Medical Research Council NMRC/MOHIAFCat1/0009/2014Singapore National Medical Research Council NMRC/MOHIAFCat1/0026/2015Singapore National Medical Research Council NMRC/MOHIAFCat2/006/2016
6 · The paper itself

Abstract

purposeHepatocellular carcinoma (HCC), the most common manifestation of liver cancer, is one of the leading causes of cancer-related mortality worldwide with limited treatment options. Infigratinib, a pan-FGFR inhibitor, has shown a potent antitumour effect in HCC. However, drug resistance is often observed in long-term treatment. In this study, we examined the potential feedback mechanism(s) leading to infigratinib and explored a combination therapy to overcome resistance in HCC.

methodsPatient-derived xenograft (PDX) tumours were subcutaneously implanted into SCID mice and were subsequently treated with infigratinib. Tumour growth was monitored over time, and tumour samples were subjected to immunohistochemistry and Western blotting. For drug combination studies, mice were treated with infigratinib and/or varlitinib. Gene overexpression and knockdown studies were conducted to investigate the relationship between EZH2 and ErbB activity in infigratinib resistance.

resultsInfigratinib-resistant tumours exhibited higher levels of p-ErbB2 and p-ErbB3, concomitant with an increase in EZH2 expression. Gene overexpression and knockdown studies revealed that EZH2 directly regulates the levels of p-ErbB2 and p-ErbB3 in acquired resistance to infigratinib. The addition of varlitinib effectively overcame infigratinib resistance and prolonged the antitumour response, with minimal toxicity.

conclusionThe upregulation of the ErbB family by EZH2 appears to contribute to infigratinib resistance. The combination of infigratinib and varlitinib showed a potent antitumour effect and did not result in additional toxicity, warranting further clinical investigation.

Indexed as

AnimalsAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsApoptosisBiomarkers, TumorCarcinoma, HepatocellularCell ProliferationDrug Resistance, NeoplasmEnhancer of Zeste Homolog 2 ProteinErb-b2 Receptor Tyrosine KinasesGene Expression Regulation, NeoplasticHumansLiver NeoplasmsMaleMiceMice, SCIDAntibodies, Monoclonal, HumanizedBiomarkers, TumorEnhancer of Zeste Homolog 2 ProteinERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesEZH2 protein, humanFGFR1 protein, humaninfigratinibPhenylurea CompoundsProtein Kinase InhibitorsPyrimidinesReceptor, Fibroblast Growth Factor, Type 1varlilumabHepatocellular carcinomaInfigratinibLiver cancerVarlitinib

Identifiers

PMID34156519
PMCPMC8397639
OpenAlexW3161606344

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.